During 2011–2014 the percentage of children with serious emotional or behavioral difficulties was about twice as high among children living in poor families (<100% of the poverty threshold) compared with children living in the most affluent families (≥400% of the poverty threshold) (7.7% versus 3.8%). This pattern was found for both boys (9.9% versus 4.8% ) and girls (5.6% versus 2.8%). At each poverty status level a higher percentage of boys than girls had serious emotional or behavioral difficulties.
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